Effect of Comprehensive Oncogenetics Training Interventions for General Practitioners, Evaluated at Multiple Performance Levels

摘要: General practitioners (GPs) are increasingly called upon to identify patients at risk for hereditary cancers, and their genetic competencies need be enhanced. This article gives an overview of a research project on how build effective educational modules genetics, assessed by randomized controlled trials (RCTs), reflecting the prioritized needs primary care physicians. It also reports ongoing study investigate long-term increase in consultation skills (1-year follow-up) interest satisfaction with supportive website genetics among GPs. Three oncogenetics were developed: online Continuing Professional Development (G-eCPD) module, live CPD “GP genetics” (huisartsengenetica.nl) providing further information applicable daily practice. assessments evaluate effectiveness oncogenetic designed: 1.An questionnaire self-reported changes referral behaviour, 2.Referral rates from GPs clinical centres 3.Satisfaction visitor count analytics website. The setting was Primary Netherlands three groups participants included reported studies:. Assessment 1. 168 responded email invitation randomly assigned intervention or control group, evaluating G-eCPD module (n = 80) 88). 2. Referral requested centres, northern southern parts (Amsterdam Maastricht), two years before (2010 [n 2510] 2011 2940]) year after (2012 2875]) launch 3. Participants evaluation all recruited online. When they visited during month February 2013, pop-up came up. Of 1350 unique visitors that month, only 38 completed questionnaire. Main outcomes measure showed (self-reported) (i.e. increased awareness referrals centres) who participated training course, 42 (52%) previously 50 (57%) programme effects outcome. Previous RCTs achieved sustained improvement knowledge (3-months follow-up). these being more aware problems long term; this 29 (69%) 46 (92%) participating studies, respectively (Chisquare test, p<0.005). One later, 68% respondents attending frequently referred compared 29% those attended p<0.0005). However, no significant change numbers one training. Website increased, as did satisfaction, reflected 7.7 8.1 (out 10) global rating (by participants, respectively). page most often consulted “family tree drawing”. Self-perceived interested satisfied Further studies necessary see whether result efficient referral. results presented suggest we have provided flexible framework meet programmes non-geneticist healthcare providers, enabling medical care.